School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Contemp Nurse. 2020 Apr-Jun;56(3):215-229. doi: 10.1080/10376178.2020.1801350. Epub 2020 Aug 18.
Involving family members in patient care is considered as a significant dimension of family-centered care in intensive care units (ICUs). To describe family members' perceptions and experiences regarding involvement in clinical care delivery and decision-making in ICUs in Iran. A qualitative research method using conventional content analysis. A total number of 24 participants were selected through purposive sampling method between 2018 and 2019. Each interview also lasted between 30 and 60 min and the inductive data analysis was used. The findings revealed that non-agreed involvement in clinical care delivery and family involvement in decision-making is being implemented on a continuum of paternalistic views. Healthcare providers, particularly nurses, and policy makers can thus exploit these findings to strengthen family involvement in this regard and consequently improve quality of care. A non-agreed approach and paternalistic views along with some barriers can affect family members' involvement in providing clinical care and making decisions in ICUs in Iran.
将家庭成员纳入患者护理被认为是重症监护病房（ICU）以家庭为中心护理的一个重要方面。本研究旨在描述伊朗 ICU 中家庭成员对参与临床护理和决策的看法和体验。采用常规内容分析法的定性研究方法。2018 年至 2019 年期间，通过目的抽样法选择了 24 名参与者。每次访谈持续 30 至 60 分钟，采用归纳数据分析。研究结果表明，非协商参与临床护理和家庭参与决策是在家长式观点的连续体上实施的。医疗保健提供者，特别是护士和政策制定者可以利用这些发现来加强这方面的家庭参与，从而提高护理质量。在伊朗的 ICU 中，非协商方法和家长式观点以及一些障碍会影响家庭成员参与提供临床护理和做出决策。
